Provider Demographics
NPI:1861427684
Name:TUAN, VICTORIA R (OMD)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:R
Last Name:TUAN
Suffix:
Gender:F
Credentials:OMD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10062 MILLER AVE
Mailing Address - Street 2:SUITE 280
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-3494
Mailing Address - Country:US
Mailing Address - Phone:408-517-0689
Mailing Address - Fax:408-973-1379
Practice Address - Street 1:10062 MILLER AVE
Practice Address - Street 2:SUITE 280
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-3494
Practice Address - Country:US
Practice Address - Phone:408-517-0689
Practice Address - Fax:408-973-1379
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAC 8462171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist